SlideShare una empresa de Scribd logo
1 de 21
Delayed Puberty Topics in Adolescent Gynecology Michael Wolfe, M.D. University of Kansas School of Medicine Department of Obstetrics and Gynecology
Objectives ,[object Object],[object Object],[object Object]
Normal Puberty ,[object Object],[object Object],[object Object],[object Object]
Tanner Staging – Breast Development
Tanner Staging – Pubic Hair
Prepubertal Period ,[object Object],[object Object],[object Object],[object Object]
What is delayed puberty? ,[object Object],[object Object]
Etiologies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypergonadotropic Hypogonadism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypogonadotropic Hypogonadism Reversible ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypogonadotropic Hypogonadism Irreversible ,[object Object],[object Object],[object Object],[object Object]
Eugonadism ,[object Object],[object Object],[object Object],[object Object]
Review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object]
Initial Labs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Progestational Challenge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation after estrogen/progesterone ,[object Object],[object Object],[object Object],[object Object]
Gonadotropin Levels ,[object Object],[object Object],[object Object]
Treatment Strategies ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resources ,[object Object],[object Object]

Más contenido relacionado

La actualidad más candente

Puberty dr-arshiyasultana-110312042731-phpapp02
Puberty dr-arshiyasultana-110312042731-phpapp02Puberty dr-arshiyasultana-110312042731-phpapp02
Puberty dr-arshiyasultana-110312042731-phpapp02
Asri Purwanti
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
MariaMandese
 
Pediatric and adolescent gynecology koc univ. web
Pediatric and adolescent gynecology koc univ. webPediatric and adolescent gynecology koc univ. web
Pediatric and adolescent gynecology koc univ. web
Süleyman Engin Akhan
 
Normal puberty
Normal  pubertyNormal  puberty
Normal puberty
raj kumar
 

La actualidad más candente (20)

Precocious puberty
Precocious puberty   Precocious puberty
Precocious puberty
 
Puberty dr-arshiyasultana-110312042731-phpapp02
Puberty dr-arshiyasultana-110312042731-phpapp02Puberty dr-arshiyasultana-110312042731-phpapp02
Puberty dr-arshiyasultana-110312042731-phpapp02
 
Precocious and delayed puberty
Precocious and delayed pubertyPrecocious and delayed puberty
Precocious and delayed puberty
 
Delayed Puberty
Delayed Puberty Delayed Puberty
Delayed Puberty
 
Precocious Puberty
Precocious PubertyPrecocious Puberty
Precocious Puberty
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Amenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.comAmenore - www.jinekolojivegebelik.com
Amenore - www.jinekolojivegebelik.com
 
Pubertal disorders
Pubertal disorders Pubertal disorders
Pubertal disorders
 
Puberty disorders
Puberty disordersPuberty disorders
Puberty disorders
 
Puberty normal and precocious
Puberty normal and precociousPuberty normal and precocious
Puberty normal and precocious
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Precocious Puberty
Precocious  PubertyPrecocious  Puberty
Precocious Puberty
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Paediatric & Adolescent Gynaecology
Paediatric & Adolescent Gynaecology Paediatric & Adolescent Gynaecology
Paediatric & Adolescent Gynaecology
 
Pediatric and adolescent gynecology koc univ. web
Pediatric and adolescent gynecology koc univ. webPediatric and adolescent gynecology koc univ. web
Pediatric and adolescent gynecology koc univ. web
 
Normal puberty
Normal  pubertyNormal  puberty
Normal puberty
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Precocious Puberty
Precocious PubertyPrecocious Puberty
Precocious Puberty
 
PRIMARY AMENNORHOEA
PRIMARY AMENNORHOEAPRIMARY AMENNORHOEA
PRIMARY AMENNORHOEA
 
COMMON GYNECOLOGICAL PROPLEMS IN PEDIATRICS
COMMON GYNECOLOGICAL PROPLEMS IN PEDIATRICSCOMMON GYNECOLOGICAL PROPLEMS IN PEDIATRICS
COMMON GYNECOLOGICAL PROPLEMS IN PEDIATRICS
 

Destacado

Disorders of puberty.pptx 2
Disorders of puberty.pptx 2Disorders of puberty.pptx 2
Disorders of puberty.pptx 2
Whiteraven68
 
approach to short stature
approach to short statureapproach to short stature
approach to short stature
Ratnakar Vallem
 
General overview of theories of developmental psych
General overview of theories of developmental psychGeneral overview of theories of developmental psych
General overview of theories of developmental psych
Id'rees Waris
 
Sex And The Brain
Sex And The BrainSex And The Brain
Sex And The Brain
vacagodx
 

Destacado (20)

Disorders of puberty.pptx 2
Disorders of puberty.pptx 2Disorders of puberty.pptx 2
Disorders of puberty.pptx 2
 
Disorder Of Puberty
Disorder Of PubertyDisorder Of Puberty
Disorder Of Puberty
 
approach to short stature
approach to short statureapproach to short stature
approach to short stature
 
Hirschprung
HirschprungHirschprung
Hirschprung
 
Biological Domains - The Internet of Human Beings as the New Big Data
Biological Domains - The Internet of Human Beings as the New Big DataBiological Domains - The Internet of Human Beings as the New Big Data
Biological Domains - The Internet of Human Beings as the New Big Data
 
General overview of theories of developmental psych
General overview of theories of developmental psychGeneral overview of theories of developmental psych
General overview of theories of developmental psych
 
Dr. Google- Knows all
Dr. Google- Knows allDr. Google- Knows all
Dr. Google- Knows all
 
Sex And The Brain
Sex And The BrainSex And The Brain
Sex And The Brain
 
Management of not yet classified AUB..CESAREAN SCAR DEFECT,UTERINE ARTERIOV F...
Management of not yet classified AUB..CESAREAN SCAR DEFECT,UTERINE ARTERIOV F...Management of not yet classified AUB..CESAREAN SCAR DEFECT,UTERINE ARTERIOV F...
Management of not yet classified AUB..CESAREAN SCAR DEFECT,UTERINE ARTERIOV F...
 
Premature Ovarian Failure Treatment in Bangalore | Fertility Treatment in India
Premature Ovarian Failure Treatment in Bangalore | Fertility Treatment in IndiaPremature Ovarian Failure Treatment in Bangalore | Fertility Treatment in India
Premature Ovarian Failure Treatment in Bangalore | Fertility Treatment in India
 
HRT
HRTHRT
HRT
 
Premature Ovarian Failure
Premature Ovarian Failure Premature Ovarian Failure
Premature Ovarian Failure
 
Hypercalcemia in children and adolescent
Hypercalcemia in children and adolescent Hypercalcemia in children and adolescent
Hypercalcemia in children and adolescent
 
Autoimmune polyglandular syndromes
Autoimmune polyglandular syndromesAutoimmune polyglandular syndromes
Autoimmune polyglandular syndromes
 
Hrt
HrtHrt
Hrt
 
Child Psychology Module 12
Child Psychology Module 12 Child Psychology Module 12
Child Psychology Module 12
 
Premature ovarian failure
Premature ovarian failurePremature ovarian failure
Premature ovarian failure
 
Dandy Walker Syndrome
Dandy Walker SyndromeDandy Walker Syndrome
Dandy Walker Syndrome
 
Antibiotics and Neonatal Sepsis Workup
Antibiotics and Neonatal Sepsis WorkupAntibiotics and Neonatal Sepsis Workup
Antibiotics and Neonatal Sepsis Workup
 
HRT hashem 2016.pptx
HRT  hashem 2016.pptxHRT  hashem 2016.pptx
HRT hashem 2016.pptx
 

Similar a Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in Adolescent Gynecology

13 amenorrhea
13 amenorrhea13 amenorrhea
13 amenorrhea
obsgyna
 
Amenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.comAmenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.com
jinekolojivegebelik.com
 
Endo Reproduction
Endo ReproductionEndo Reproduction
Endo Reproduction
Miami Dade
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
B Johani
 
secondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.pptsecondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.ppt
ParulSinha25
 

Similar a Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in Adolescent Gynecology (20)

Copy Of Obs
Copy Of ObsCopy Of Obs
Copy Of Obs
 
Amenorrhea NISHTAR
Amenorrhea NISHTARAmenorrhea NISHTAR
Amenorrhea NISHTAR
 
13 amenorrhea
13 amenorrhea13 amenorrhea
13 amenorrhea
 
Amenorrea primaria
Amenorrea primaria Amenorrea primaria
Amenorrea primaria
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.comAmenore - Over - www.jinekolojivegebelik.com
Amenore - Over - www.jinekolojivegebelik.com
 
Precocious puberty
Precocious pubertyPrecocious puberty
Precocious puberty
 
Amenore - Anovulasyon - www.jinekolojivegebelik.com
Amenore - Anovulasyon - www.jinekolojivegebelik.comAmenore - Anovulasyon - www.jinekolojivegebelik.com
Amenore - Anovulasyon - www.jinekolojivegebelik.com
 
Endo Reproduction
Endo ReproductionEndo Reproduction
Endo Reproduction
 
Primary ovarian insufficiency
Primary ovarian insufficiencyPrimary ovarian insufficiency
Primary ovarian insufficiency
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhoea
AmenorrhoeaAmenorrhoea
Amenorrhoea
 
Amenorrhea for undergraduate
Amenorrhea for undergraduateAmenorrhea for undergraduate
Amenorrhea for undergraduate
 
Precocious puberty ppt
Precocious puberty pptPrecocious puberty ppt
Precocious puberty ppt
 
Female infertility (3) (1).pptx
Female infertility (3) (1).pptxFemale infertility (3) (1).pptx
Female infertility (3) (1).pptx
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
secondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.pptsecondary amenorrhoea lectures.ppt
secondary amenorrhoea lectures.ppt
 
CLINICAL DIAGNOSIS AND MANAGEMENT OF AMENORRHOEA BY DR SHASHWAT JANI
CLINICAL DIAGNOSIS AND MANAGEMENT OF AMENORRHOEA BY DR SHASHWAT JANICLINICAL DIAGNOSIS AND MANAGEMENT OF AMENORRHOEA BY DR SHASHWAT JANI
CLINICAL DIAGNOSIS AND MANAGEMENT OF AMENORRHOEA BY DR SHASHWAT JANI
 
amenorrhea
amenorrheaamenorrhea
amenorrhea
 
oligmdLR4h57D9kK953.pptx
oligmdLR4h57D9kK953.pptxoligmdLR4h57D9kK953.pptx
oligmdLR4h57D9kK953.pptx
 

Más de MedicineAndHealth14

Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop Management
MedicineAndHealth14
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
MedicineAndHealth14
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...
MedicineAndHealth14
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
MedicineAndHealth14
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
MedicineAndHealth14
 

Más de MedicineAndHealth14 (20)

Diabetic eye disease
Diabetic eye diseaseDiabetic eye disease
Diabetic eye disease
 
Womenseyehealth
WomenseyehealthWomenseyehealth
Womenseyehealth
 
Retinoblastoma
RetinoblastomaRetinoblastoma
Retinoblastoma
 
Glaucoma
GlaucomaGlaucoma
Glaucoma
 
Eye
EyeEye
Eye
 
Radical Neck Dissection
Radical Neck DissectionRadical Neck Dissection
Radical Neck Dissection
 
Entgr Tonsillectomy
Entgr TonsillectomyEntgr Tonsillectomy
Entgr Tonsillectomy
 
Preop Assessment Periop Management
Preop Assessment Periop ManagementPreop Assessment Periop Management
Preop Assessment Periop Management
 
Iodine
IodineIodine
Iodine
 
Deep Neck Infections
Deep Neck InfectionsDeep Neck Infections
Deep Neck Infections
 
Passive Smoking and Health
Passive Smoking and HealthPassive Smoking and Health
Passive Smoking and Health
 
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.pptwww.triz.hk/icoiappt/icoia010601.ppt 	 www.triz.hk/icoiappt/icoia010601.ppt
www.triz.hk/icoiappt/icoia010601.ppt www.triz.hk/icoiappt/icoia010601.ppt
 
Surgery Block Evaluation
Surgery Block EvaluationSurgery Block Evaluation
Surgery Block Evaluation
 
Cough In The Elderly
Cough In The ElderlyCough In The Elderly
Cough In The Elderly
 
Emergency Contraception
Emergency ContraceptionEmergency Contraception
Emergency Contraception
 
Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...Design of a medical simulator for subcutaneous contraceptive implant insertio...
Design of a medical simulator for subcutaneous contraceptive implant insertio...
 
Oral Pathology
Oral PathologyOral Pathology
Oral Pathology
 
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge 	 Obesity: The Bariatric ChallengeObesity: The Bariatric Challenge 	 Obesity: The Bariatric Challenge
Obesity: The Bariatric Challenge Obesity: The Bariatric Challenge
 
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLSPEPTIDES AS BIOTHERAPEUTIC TOOLS 	 PEPTIDES AS BIOTHERAPEUTIC TOOLS
PEPTIDES AS BIOTHERAPEUTIC TOOLS PEPTIDES AS BIOTHERAPEUTIC TOOLS
 
Diabetes
DiabetesDiabetes
Diabetes
 

Último

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 

Último (20)

Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 

Delayed Puberty Topics in Adolescent Gynecology Delayed Puberty Topics in Adolescent Gynecology